Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Diane Tepedino, MD

Individual provider Dermatology Physician · NPI 1619237369

Kelly Diane Tepedino, MD is a Dermatology in Lake City, Florida. Graduated from University of Florida College of Medicine in 2012, 14 years ago. Practices with North Florida Dermatology LLC, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
14
Trained at
University of Florida College of Medicine
Licensed in
FL
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1722 SW Newland Way
Lake City, FL 32025-6915
Phone: (386) 344-6102
Fax: (386) 344-6103
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1717 Sw Newland Way, Lake City, FL 32025-6966 — (386) 344-6102

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence ME122956 (FL)

Record details

NPI number1619237369
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 29, 2012
Last updated in NPPESMarch 7, 2024
Certification dateMarch 7, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Also practisesINTERNAL MEDICINE
Medical schoolUNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduated 2012 (14 years in practice)
Group practice North Florida Dermatology Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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